This patient’s breasts grew downward from the beginning. She developed stretch marks during puberty and her areolas dilated and took over much of the normal breast skin. She had no breast tissue up on her chest. It was all down low, laying on herself. She hated the sweating that her breasts caused and the constant feeling of skin on skin. She said her breasts would fall out of bathing suits because she had so much skin. What’s remarkable is that she never remembers having “normal-sized” breasts like her friends. Instead, her breasts grew long and saggy right from the beginning. Breast reduction surgery for this patient has allowed her to experience breasts that she feels confident with for the first time in her life.